Star Amber Riddale LMT

NPI 1780739060 - Specialist - 174400000X

NPI Details
NPI 1780739060
Gender Female
Enumeration Date 01/24/2007
Last Updated 01/30/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
10900 TANZANITE DR NW
ALBUQUERQUE NM, 87114-1853, US
Phone (505) 239-9644
Fax
Business Location
10900 TANZANITE DR NW
ALBUQUERQUE NM, 87114-1853, US
Phone (505) 239-9644
Fax
Toxanomy
Taxonomy Code 174400000X
License State New Mexico
License Number 1435
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According to our database, Star Amber Riddale LMT NPI is 1780739060, taxonomy code is 174400000X and license number is 1435, license state is located at New Mexico. Star Amber Riddale LMT physically located at 10900 Tanzanite Dr Nw, Albuquerque NM, 87114-1853. NPI Number Star Amber Riddale LMT has the Individual type.

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1780739060 NPI number is provided on an as is basis without warranty of any kind. 1780739060 is maintained by the National Plan & Provider Enumeration System. The contents of Star Amber Riddale LMT are for informational purposes only.